Medical Exemption Policy
The child's pediatrician, family physician or an internist, who must be duly licensed in the state of Mississippi, may submit a letter requesting the medical exemption for their patient to
the local public health District Health Officer. The exemption will be granted unless there is a local or statewide occurrence of disease which would indicate
that the exemption will cause "undue risk to the community."
The exemption expiration date will be based on the circumstances for the exemption and will be for a minimum of one school year.
If any of the vaccine-preventable diseases for which the child has not been adequately immunized are occurring in or threatening to occur in the community, the child will, for the safety and benefit of
him/herself and other children, be excluded from school until the infectious disease is no longer present, or is no longer a threat to the safety and welfare of the child or other children in the school.
Requesting a Medical Exemption
- The child's pediatrician, family practitioner or internist licensed in Mississippi must write a letter to the District Health Officer for the child's county of residence, requesting an exemption from specific vaccines for school entry. The letter must contain the child's name and date of birth, the specific vaccine(s) for which the exemption is requested, as well as the medical reason for the exemption request.
- The District Health Officer will reply by mail, and supply a Medical Exemption Form 122 for the physician to provide for the child.
Finding Your District Health Officer
Names and addresses of District Health Officers and the counties in each health district may be found on-line:
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